WARA AHSAN IMAM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171639

License Status

ACTIVE

Business

Title

First Name

WARA

Middle

AHSAN

Last Name

IMAM

Business Name

WARA AHSAN IMAM DO

Original Issue Date

08/20/2024

Effective Date

08/20/2024

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/01/2024